- The Cigna Group (Sacramento, CA)
- …for inpatient acute care, rehabilitation, referrals, and select outpatient services. May review initial liability disability claims to determine extent and impact of ... cases for impact. + Access the approved Cigna guidelines for inpatient review and directs communication with the facility to elicit clinical information and… more
- The County of Los Angeles (Los Angeles, CA)
- UTILIZATION REVIEW NURSE SUPERVISOR I Print (https://www.governmentjobs.com/careers/lacounty/jobs/newprint/4924333) Apply UTILIZATION REVIEW NURSE ... see comprehensive information regarding County employee benefits. DHS is seeking dedicated Utilization Review Nurse Supervisors to join our team. Whether you're… more
- The County of Los Angeles (Los Angeles, CA)
- UTILIZATION REVIEW NURSE SUPERVISOR II Print (https://www.governmentjobs.com/careers/lacounty/jobs/newprint/2784979) Apply UTILIZATION REVIEW NURSE ... direction, administrative and technical supervision over the nursing staff engaged in utilization review activities at Los Angeles General Medical Center, one… more
- Centene Corporation (New York, NY)
- …assess ABA Treatment Plans required. Knowledge of ABA services and BH utilization review process required. Experience working with providers and healthcare ... Analyzes BH member data to improve quality and appropriate utilization of services + Interacts with BH healthcare providers...teams to review care services related to Applied Behavior Analysis Services… more
- Beth Israel Lahey Health (Boston, MA)
- …making a difference in people's lives.** The Administrative Assistant II will support the Utilization Management team, and will work with the Data Analyst and ... the Authorization Administrator. This job will require good time management and multitasking at times (faxes, phones, entering info into EPIC). We are seeking a candidate who is able to run reports and is proficient with Excel. This position is 100% onsite at… more
- TECO Energy (Ybor City, FL)
- …licensing record with in the IT asset auto discovery tool to maintain compliance. Review contract and license utilization to ensure compliance is maintained for ... Manage and maintain Hardware standards reporting and software licensing compliance reporting. Review contract and license utilization to ensure compliance is… more
- Centene Corporation (Austin, TX)
- …WILL HAVE BCBA CERTIFICATION **Position Purpose:** Supervises the behavioral health (BH) utilization review clinicians to ensure appropriate care for members and ... of BH utilization management team. + Monitors behavioral health (BH) utilization review clinicians and ensures compliance with applicable guidelines +… more
- HCA Healthcare (Henderson, NV)
- …opportunity compelling, we encourage you to apply for our Consulting EHR Support Analyst PRN WFH opening. We promptly review all applications. Highly qualified ... Qualifications** **Do you have the career opportunities as a Consulting EHR Support Analyst you want with your current employer? We have an exciting opportunity for… more
- HCA Healthcare (Nashville, TN)
- …want to join an organization that invests in you as a Senior Benefits Financial Analyst ? At HCA Healthcare, you come first. HCA Healthcare has committed up to $300 ... We are looking for a dedicated Senior Benefits Financial Analyst like you to be a part of our...for the enterprise. You will establish and maintain monthly utilization and financial reporting. You will assist with developing… more